IndividualActive
Kilbourn Gordon, MD
NPI 1952455693 · General Practice Physician · Groton, CT
Provider details
- NPI number
- 1952455693
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 038689 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
220 Route 12
Groton, CT 06340-3414
Phone: (860) 650-3848
Approximate (ZIP-level) locationGet directions
Mailing address
220 Route 12
Groton, CT 06340-3414
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2025-03-14
- Certified
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.